Prevalence of polypharmacy and associated factors in older adults in Spain: Data from the National Health Survey 2017.

Medicina clínica
Marta Gutiérrez-ValenciaNicolás Martínez-Velilla

Abstract

to estimate the prevalence of polypharmacy and hyperpolypharmacy in non-institutionalised older adults in Spain and assess the associated factors. a cross-sectional study based on data from the National Health Survey of Spain 2017, with participants aged 65 and over. The prevalence of polypharmacy (≥5 medications) and hyperpolypharmacy (≥10) were estimated, as well as the association with several factors through multivariate logistic regression. A sensitivity analysis was carried out considering the possible consumption of more than one drug for the same indication (polytherapy). 7023 participants were included, with a mean age of 76.0 (SD 7.6), 59.4% female and average consumption of 3.3 (SD 2.2) drugs per person. The prevalence of polypharmacy was 27.3% (95% CI 26.2-28.3) and of hyperpolypharmacy 0.9% (95% CI 0.7-1.1). The sensitivity analysis showed that the prevalence could be at least 37.5% and the average 3.9 (SD 2.5) when considering polytherapy. The factors most associated with polypharmacy were the number of chronic diseases, degree of dependence for the basic activities of daily living, self-perceived health or contacts with the health system; and negatively, sensory deficits and incontinence. the prevalence of polyph...Continue Reading

Citations

Mar 15, 2019·Studies in Family Planning·Signe Svallfors, Sunnee Billingsley
Dec 17, 2020·Journal of Clinical Nursing·Hui-Fen HsuYih-Fung Chen
Apr 29, 2020·Medicina clínica·Javier JacobPablo Herrero-Puente
May 11, 2021·Medicina clínica·María Fernández-PradaCarmen Calvo-Rodríguez
Jun 2, 2021·Revista Clínica Espanõla·I Vallejo MarotoUNKNOWN Focus Group on Aging of the Spanish Society of Internal Medicine and the Working Group on Polypathology and Advanced Age
Aug 17, 2021·Medicina Clínica·María Fernández-PradaCarmen Calvo-Rodríguez

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